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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00147 DEVELOPMENT SERVICES DATE ISSUED: 2/22/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 102A B -01200 SITE ADDRESS: 09305 SW COMMERCIAL ST 4 ZONING: R -25 SUBDIVISION: VIKING APARTMENTS LOT : 064 JURISDICTION: TIG Project Description: Electrical reconnect. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BRIAN COLLING OWNER 13835 SW HALL BLVD TIGARD, OR 97223 Phone: 503 - 705 -2295 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 2/22/2006 $66.85 [TAX] 8% State Surcharge 2/22/2006 $5.35 Total $72.20 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1 -800- 332 -2344. Issued By: 2 // S 4� K Permittee Signature: J p e C1 p,c OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 2006 02/22 09:42 TEL 5036203194 1)003 %I SO • .� �{ �.K� �� 1 Electrical Permit AOit' �i: !kl " , ' i k i!1 l I ! l { (1)1 �¢�4' %Y7 n 0 City of Tigard 221�p� '_ . l Part= No.. o _ �,— 0 ' 13 l25 SW Hall Blvd.. Tigard, OR 9 E p� Review Otba Permit Phonc: 503.639.4171 Fax: 503.598.1960 REVIEW W q Detail/. inspection Line: 503.639.4175 j - \ J 1 -� = '+ I i' ' i, Pala Raldy/l�" / � 6d Sac Page 2 for rummer, www.ra_tigard.or.us 01 - �)1, ' ,_ ` N _- ) 1 l( i N®�l Information I a�,yi -.�0� , OAK I P LAN REV ❑ New construction ❑ Addis n/alteiatiorereplarement er che a/1 the �° apply: ❑ Demolition E(Othef I Dice o 225 amps, caravel ❑Hazardo s location IgiSeivice over 320 amps - rating DBaildng over 10,000 sq. 8.. CATEGORY OF CONS FRUellON I of I. sad 2 -family dwellings 4 or more new residential ❑ 1- and 2- family dwelling 0 Commercial / ndustrial 0 Accessory building ❑System over 600 volts nominal _ in one structure OStading met three stories Feeders, 400 amps or more jg Multi - family ❑ Masten builder ❑ Other: _ ClOccupant load over 99 persons Elhnumalictured svuctlues or JOB SITE INFORRIATION AND LOCATION I ❑ EgressAighting Plan RV park I. ©Healtltcare facility QOtber_ lob no_: l Job site addrt s: t? S S L'J ,,,� �,, r Submit 2, sets ciphers any Mile above. City /Statc)ZIP: / � 7 , z 1� / ' - 2 Z are The above e not applicable to temporary construction service. 1 C Suite/bldg./apt. no.: f} 11 1 PrnJept. name: rE EE° 3[�U[� ( Tote .. New residential or m11ti -fairly dwelling unit. Cress street/directions to job site: I f n j�►-r e-f" ; `c F.�17 Inclu attached T� ✓ garne r. .. i jt 11-0-c /tom 1,000 sq. 11. less , : - 145.15 ' ' 4 Subdivision: 1 [ Lot no_: I Fa. add'1500 s9. it or portion 33.40 I Limited energy, residcutial ! 1 75.00 2 Tax map/parcel no.: — Limited energy. tm o-reside:itiai 75.00 2 DESCBIIITION OF WORK Each manufactured or modular dwelling. service and/or feeder 90.90 , _ (z n r, e 4- a e./ t4/7 j Sepias or fseda's installation, alteration, and/or Macedon 200 amps or less i 8030 ' 2 RI PROPERTY OWNER 1 1 Q TENANT 201 amps w 400 amps 1 2 ` 401 amps to 600 amps i 16060 .60 60 2 Name: �j r . i ' 1 Lo /', n j 601 amps to 1,000 amps 240.60 2 / " } / Over 1.000 auks or volts 454.65 2 Address: fig .� J s ' fl� u - 4( 1} • l'e - f only ' � 1 ( 66.85 166• S 2 rm City /State/ZIP: 6- G' ' cc.. 4 /Z / FLZ 3 Teneporory services or feeders instal adoo. alteration. and/or ration ( . 5 1 . $ 7 . . . . / s - - _ S- 2 .-2,y 5-" Fax (i d_j) 5,+ ' 3, J 200 amps or less 6-8 - 1 Owner installation: This installation il being Made on property that 1 own which is not 201 amps to 400 amps ' 10030 2 intended for sale, lease, or exchange, accit ding to ORS 447, 449, 670. and 'i•01. 401 amps to 600 amps , ' 133.75 2 Owner signature: , � Date:2 J e 6 Braocb circuits- new, alteradoa, Or adenine, Per Panel APPLICANT 1 Z coNrACr PERSON A. Fee for branch circuits With Service or feeder fee tech 6.65 2 _' Business name: e /7,196, ec-s brands circuit - , v B Fcc for bttalch circuits Contact name: a. cs i� ( o p h I without service or f fee. 46.85 2 circuit ' Address: yr, S ) /,✓ / / I /5 reef' Each add'I�brooch circuit i 6.65 2 City/State/ZlP: //l f -Z -Z�1 -J 0 je y'722, . I Miscellaneous' (service or feeder not included) Phone: aS ) � ' f Fax :: (re 3) . - J / I. :Pump Sign or outline i l i tingle ' 53.40 2 � lighting E mail_: C 421 ()ire; : /' /1 I Signal crz�it(s) or limitd / COIITRAC¢'OR energy panel, alteration, or - - extension. Describe: ' Page 2 2 Business name: Each additional inspection over allowable in any of the above Address: i Per inspection • 62.50 City /State /ZIP: ► 1 lnvsat4481ro° per hour (1 brain) 1-4,- 62.50 I _ Industrial plant per hour ' 71.75 Phone: ( ) Fax ( ) - ELECTRICAL PEEP FEE CCB Lie_: I Electrical L1c_: Suprv. Lie.: I • , Subtotal • + Suprv- Electrician signature, required: J Plea review (2S% of permit fee) 1 State soacltarge (8%b of permit fee) ,5 Print name: - TOTAL PERMIT FEE - 72.20 - Authorized sigrraiw This is permit appricetion respires Ifs permit is oat obtained witbio its dais alter it his bias aocaPled as aompleR Print name: 1 Date: • Fee methodology set by Tri -County Budding Industry Service Board